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Breastfeeding challenges
My daughter is now 18 days old, but spent the first 17 days in
hospital. She was on a ventilator for 8 days, began tube feeding EBM at day 5, mouth feeding 2x/day at day 11 - via bottle which she didn't take to well at all. At 14 days started on the breast. She immediately took to it on her first try, but subsequent feedings didn't work. On day 15 I fed on demand as much as possible, and she'd take the breast about 30% of the time, the other times we'd (myself, the nurses, the LC) give her EBM via syringe or bottle, tho she was still lousy on the bottle. The NG tube was removed (well, she pulled it out and the nurse agreed to leave it out). Day 16 she suddenly liked the bottle more and did well at the breast about 50% of the time. While at first we all said NO bottles, even the LC agreed we needed to get her fed so we could get her home (she was healthy by now and feeding was the only hold up), and to do whatever it took. So now we're home. She seems to latch on well most of the time, I can hear her swallow. Tho there are times I think she's just got the nipple - I use my hand to stimulate milk flow and I know she's getting it. She'll feed 15 mins on one side, konk out totally for 15 mins or so, then is hungry again but will only spend maybe 5 mins on the other side at most. She will feed every 1.5 hrs, max 2hrs. She did well all day, but at night she doesn't wake and I have to wake her at 3hrs to feed. She doesn't wake up fully and really struggles with the breast. In the day she'll use her mouth to seek it, but at night she purses her lips and wants nothing to do with it. So I caved and gave her EBM, and this morning she's doing ok with the breast directly again. Any suggestions to improve the night time feeding? I haven't mastered the knack of laying on my side to feed, but will practice that. She had oral aversion issues initially due to the ventilator, so we were less worried about nipple confusion and more about her just taking something. |
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